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At what stage of pregnancy does the breast swell? The milk has arrived. The chest is "filled" and hurts

When feeding on demand, lactation becomes tidal for 2-3 months. The breast really becomes soft and flushes are felt during sucking. This suggests that lactation is being established. Milk should not accumulate in the breast, on the contrary, it helps to reduce lactation.

When sucking on a pacifier (like a bottle) and on the breast, the baby makes completely different sucking movements. This leads to "breast-nipple" confusion, incorrect attachment (the child does not take the deepest latch, may begin to pinch the nipple with gums), after which the mother has such problems as nipple cracks, milk stasis, insufficient breast stimulation and, as a result, a decrease in lactation. 30% of babies refuse to breastfeed with single bottle feeding. When the baby suckles, the hormone oxytocin helps him to release milk and makes sucking easier. When using breast substitutes, the child's communication is reduced to communication with an inanimate object and separates mother and baby. He learns to trust and calm down with a rubber pacifier, and not with his mother.

3. Why does the child not need to be given additional fluids in the first six months?

A breastfed baby does not need additional fluids until 6 months of age. He gets it from the mother's front milk (milk consists of 87% water). Also, the presence of another fluid reduces the production of milk, because. the center of saturation and the center of thirst quenching in the baby are very close and a portion of water is perceived as food. In addition, water is a foreign liquid for the baby and increases the risk of infection.

At night (especially from 3 to 8), the woman's body produces the largest amount of prolactin (lactation hormone), feeding contributes to the establishment of stable lactation and is especially important when increasing the amount of milk. Night milk is more fatty. In addition, the production of prolactin suppresses ovulation, which prevents a woman from subsequent pregnancy and prevents the occurrence of anemia.

5. Can I smoke while breastfeeding?

If a mother smokes during the feeding period, this can adversely affect lactation - reduce milk production. In addition, children of smoking mothers are more likely to suffer from bloating. Nicotine undoubtedly accumulates in milk, so mom can smoke 2 hours before breastfeeding and in no case should the child inhale the smoke. In general, the benefits of breastfeeding outweigh the risks of smoking.

6. Can I breastfeed with silicone implants, nipple piercings, tattoos?

Can. If the ducts are not damaged during the operation, there will be no problems. Side effects may occur (numbness of the nipple, difficulty with the release of milk, but you just need to adapt to this). There is information that the ducts can be restored. Piercing is also not an obstacle, but difficulties may arise if the ducts contain scars. The tattoo does not have any effect on the lactation process.

Control weighing only makes mom nervous. Babies develop spasmodically, so more than once a week they do not need to be weighed. The most informative weighing is once a month. Experienced neonatologists say that a child can suck out a different amount of milk at a time - from 50 to 100 grams. Suckling needs change throughout the day. Moreover, out of 100 grams, the baby can absorb only 50, and out of 50 all 50. In addition, the composition of milk changes from feeding to feeding, and eaten 50 grams of rear (fatty) milk can fully satisfy the need of the child. The abundance of milk is determined by the number of urination per day - 12 or more (from 10-14 days of life) indicates that your baby has enough milk.

8. Do I need to pump?

When feeding on demand, there is no need to express. The demand for milk always corresponds to the supply. Breast change tactics should be discussed individually with a consultant. Pumping may be necessary when the mother and child are separated, with "sluggish" sucking from the first days, after a cesarean section, breast engorgement, milk stasis, lactation maintenance.

9. The child often spits up. Is it normal?

Spitting up babies is associated with the immaturity of the nervous system and the weakness of the muscular valve - the sphincter. Sometimes children spit up when swallowing too much air. In general, regurgitation during, after and between feedings is considered normal, if it does not affect the child's weight gain. Permissible once a day vomiting fountain. In any case, a frequently spitting up baby should be shown to a neurologist.

10. The baby sucks at the breast for an hour. Is this normal and does it contribute to the appearance of cracked nipples?

Yes, this is normal. Often associated with postpartum stress and time regulated. Prolonged sucking does not contribute to the appearance of cracks, provided that it is properly attached to the breast. With prolonged sucking, attention should also be paid to the issue of proper attachment, because. this is sometimes the result of ineffective suckling at the breast.

11. Is it possible to play sports during lactation?

Physical activity is not a necessity, it is better to use light exercise. There is a special postpartum gymnastics. If the mother aims to lose weight, this is facilitated by long-term breastfeeding (9 months or more). If, nevertheless, the mother began to practice, it is advisable to breastfeed in an hour (because the amount of lactic acid in milk increases).

12. Are flat or inverted nipples an obstacle to feeding? Can breast size affect the amount of milk produced?

No, a woman with any breast size and any nipple shape can breastfeed for a long time. The baby does not suck on the nipple, but on the breast, the areola. The nipple itself does not participate in sucking and is located at the level of the soft palate. It is important to choose suitable positions for feeding, do not give the child any objects that imitate the breast in order to avoid breast rejection, and monitor the correct attachment. Breast size depends on body fat, and not on the contents of the mammary glands.

13. Is it necessary for a nursing mother to drink milk?

No, mom can drink any other liquid, drinking milk does not affect the body's ability to produce milk.

14. Do I need to keep the baby in a column after each feeding?

Not necessary. The child is able to burp air in any position. If he fell asleep - do not turn him sharply, in which case he will most likely burp more than usual.

15. Is it possible for a mother to feed a child during an illness?

Yes, you can and should. During the period of illness, the mother passes antibodies to the disease to the child with milk. If the baby gets sick, it transfers much easier.

16. Can I breastfeed with mastitis?

It is possible and necessary, because better than a child, no one will cope with the stagnation of milk. The only exception is an abscess, in which it is necessary to check for the presence of pus in the milk (drop on a cotton swab, the milk is absorbed, the pus remains).

17. Do I need to wash my breasts before feeding?

No. Montgomery's glands are located on the nipples of a woman. They secrete their own lubricant. If you use soap when washing, the nipples dry out, the lubricant is washed off, which leads to cracks. It is enough to wash the breast with clean water once a day.

18. It seems to me that the milk has become watery and non-greasy. I'm afraid that soon the baby will have to be supplemented, what should I do?

Mother's milk always meets the needs of the child. It is not "lean" or "watery". The composition of milk changes during each feeding and even in each breast it can differ in composition. The front portion of the milk is bluish in color, it is rich in lactose, vitamins, minerals. Therefore, it may give the impression of an overly watery consistency, but this does not mean that the milk does not meet the needs of the child.

19. At what age is it best to wean a baby?

It is difficult to answer this question unambiguously. Every child has a different age for weaning. Ideally, he should outgrow the need to suckle himself. Approximately this time comes in 1.5-2 years. But many children are applied up to 3 years or more. Experts believe that premature weaning at the initiative of the mother can adversely affect the psycho-emotional development of the child. Be sure to take into account the child's readiness for weaning - there are practically no daytime attachments, the baby can be easily distracted from the request to breastfeed, about 2 attachments per day, mostly at bedtime, the child needs less and less attachment for the purpose of comfort. Mom's breasts do not fill up if the baby is not applied during the day. Readiness for weaning is best discussed with a specialist.

20. How long can expressed milk be stored and at what temperature?

At + 15С 24 hours, at + 19-22С 10 hours, at + 25С 4 hours, in the refrigerator at + 4С 8 days, in the freezer with a common door 2 weeks, in the freezer with a separate door 3 months, in a separate freezer at -19С six months or more.

In articles about breastfeeding, we repeatedly say that each couple - mother and child - is unique, each problem requires individual consideration. However, there are almost always some general recommendations that in any case will not harm and may even help the mother figure out the situation on her own.

Attachment to the chest

The first thing a young mother should learn is proper attachment baby to the chest. It causes effective sucking, breast stimulation, helps to avoid pain during feeding and nipple injuries. But perhaps most important for sufficient milk supply is the principle feeding on demand and not on schedule. Moreover, if the baby of the first weeks of life sleeps for a long time and does not ask for a breast himself, he should be awakened and offered a breast at least once every one and a half to two hours. Thus, 10-12 (or more) applications per day provide sufficient nutrition for the baby, maintenance of lactation and health of the mother's breast. Frequent application even before the arrival of milk, when there is only colostrum in the breast, provides the laying of the required number of receptors for successful lactation, contributes to the emotional comfort of the mother, helps to avoid or mildly cope with the phenomenon of postpartum depression. In favor of feeding on demand, the joint stay of mother and baby in the maternity hospital works.

Even if for some reason there was a decline in milk production, frequent applications are the key to a good one.

To get the baby more milk than he is able to suck on his own, technology also helps "chest compressions". This works well when the baby is still very small and gets tired of suckling quickly; when the baby is often applied to the breast and sucks for a long time, but the mother still notices a slight increase in the weight of the child. This technique helps if the mother suffers from recurring milk stasis. What does it look like? Mom takes the breast with her hand in the same way as she gives it, but further from the nipple: the thumb on one side, the rest on the other. Slightly compresses the breast, making sure that the baby does not lose the nipple and remains properly attached. The reception can be used immediately (if the baby initially finds it difficult to suck milk on his own) or after the active sips are over, and when the breast is compressed, the child will take a few more effective sips of milk.

Increased lactation

To increase lactation and the number of hot flashes in one feeding, you can repeatedly shift the baby from one breast to another, i.e. give both breasts at one feeding. How to understand that you can offer your baby a second breast? It is important not to allow an imbalance of foremilk and hindmilk, so this is done only after the baby stops swallowing milk and just sucks for a while. This technique can be combined with the chest compression technique.

Calmness and peace of mind of the mother no less important for success. This should be taken care of at home. If the mother was frightened, experienced a strong shock, pain, then special breathing exercises or just deep calm breathing, a warm bath (possibly with the baby), a pleasant activity, delicious food will help to calm down. Small physical activities (housework, walking, even just carrying a baby) - reduce the level of adrenaline. You should also encourage your baby to breastfeed frequently.

Stimulation of lactation contributes to everything that allows mom and baby feel each other's skin: feeding as undressed as possible, sleeping together, carrying on hands, light massage and stroking with mother's hands, just laying the baby on mother's bare stomach and chest. Such contacts through psychological sensations trigger regulation at the hormonal level.

But already with established lactation, if possible, it is necessary to prevent strong breast filling. In the milk accumulated in the breast, a special inhibitor protein appears - a substance that triggers the mechanism for reducing milk production.

False hypogalactia

We have already mentioned that sometimes there is a so-called false hypogalactia, i.e. a state when a mother thinks that she does not have enough milk, in fact, milk may well be enough. When does this happen? When a mother, ignoring reliable signs, begins to focus only on the following indicators and situations.

Mom makes "control feedings" - weighs the baby before and after feeding. She is nervous, worried about what number she will see on the scales. The baby feels the mother's tension, is distracted, sucks less effectively. Babies during the day can be breastfed for various reasons, including just to calm down a little or “drink”, but the mother most often regards each application as “full nutrition” and is very upset when she sees only a few grams on the scales. If weighing takes place in a clinic, this is even worse, because. Strictly limited time is given for feeding, after which the baby, who has fallen asleep or has not yet pumped enough, is placed on the scales. And there is also the error of the scales, the expenditure of energy by the baby on sucking itself ...

Milk is expressed little or not at all. An imaginary sign, because neither the sucker nor the hands can reproduce the mechanism of sucking the child. There is such a thing as breast capacity - the volume of milk that can accumulate in it. It is different for every woman. And even the left and right breasts of one woman can accumulate different amounts of milk. The capacity is in no way related to the ability to produce milk, but it is this amount that, at best, the mother expresses, that is, even if it turned out to be expressed, the resulting volume is much less than what the child is able to suck out.

The baby does not calm down after feeding or is restless during it. Often mothers remember that they have "little milk" in the evening, when many children are especially restless. Babies may cry and worry for a variety of reasons. By the way, studies show that small children do not experience hunger as such until a certain point, and a truly hungry child will rather sleep than worry. In addition, sometimes anxiety is a sign of normal age-related behavior.

Reasons for concern

Some mothers refer to heredity: “Mom didn’t feed, and I can’t!”. We have already mentioned that in the days of our mothers and grandmothers, feeding according to the regimen was common, often a woman was immediately recognized as “non-dairy”, although, most likely, the failure of breastfeeding consisted in a separate stay in the maternity hospital, rare feedings, and the need to go to work early . With the right actions, such "heredity" can be happily avoided.

The breast stopped filling up between feedings. This simply indicates the establishment of lactation: milk will now be produced in response to the suckling of the baby, accumulation can only occur in case of long breaks between feedings.

Sometimes mothers believe that small breasts are unable to produce milk. This is wrong. The glandular tissue is responsible for the production of milk, which, even in a very small breast, can be very developed, have a large number of lobes and ducts. Adipose tissue is responsible for breast size.

Mom believes that she eats little and / or not varied, so there is not enough milk. To this is often added the belief that milk is "bad", its composition is defective. A varied, healthy diet for moms is undoubtedly very important. But it is more important for the health of the mother herself, her strength, her mood. The energy composition of milk (proteins, fats and carbohydrates) does not depend on the nutrition of the mother, it is laid genetically and in accordance with the needs of the child (for example, it is known that mothers of babies born prematurely have milk richer in proteins). The vitamin and mineral composition of milk can be slightly influenced by mother's nutrition, but at the same time, the mother's body is such that even with a deficiency of some element in the mother, the composition of the milk will be complete.

Milk does not leak from the breast between feedings and/or from the second breast while suckling the first. This does not at all indicate the absence of milk, but only that the ducts are "strong" enough not to let milk through in the absence of sucking. The age of the child when milk stops leaking is different for each (from several days to several months). It happens that leakage is not observed from the very beginning (more often this happens with the second and subsequent children).

After feeding, the baby takes the proposed bottle with the mixture, drinks it all and then sleeps for a long time, usually the mother says: "So, I was hungry and only now I'm full." Experts generally do not recommend conducting such a "test". The bottle satisfies the baby's natural desire to suckle; already quite quickly evacuated from the stomach, the mixture gets there, but it is very difficult to digest, so the baby is sleeping, because. there is simply no strength left for anything else.

Mom reacts to the words of medical staff, friends, relatives that there is not enough milk, the child does not eat enough. This imaginary sign is worth noting separately, because. he, with enviable constancy, brings confusion into the vulnerable souls of young nursing mothers, makes them scared, sometimes completely unreasonably introduce supplementary feeding to the baby, and in the worst case, even finish breastfeeding ahead of time.

Not everyone has competent information about breastfeeding, not everyone breastfed their babies themselves. The older generation often focuses on the imaginary sign of "heritage of milkiness" and tells a modern young mother that she will not be able to feed because her mother, grandmother, great-grandmother, aunt, grandmother's roommate in the apartment did not feed ... They can undoubtedly be understood: because there was simply no other example before my eyes! Sometimes the environment of a young mother very closely draws her attention to the size of her own breasts and claims that the breasts are not suitable for feeding. Even worse, when there are relatives in the own family of a mother who has just given birth, who, instead of supporting, helping to establish breastfeeding, caring for a young mother, on the contrary, downright advise “not to suffer”, but to give a mixture and are rather skeptical about assistance from lactation specialists. After all, they really want both mom and baby to be healthy, calm and happy! In order for the care of relatives to be combined with the establishment of natural feeding, experts recommend studying information about feeding and caring for the baby by the whole family, including the older generation.

But what is the medical staff guided by when they talk about the amount of milk in the mother's breast? Probably all the same criteria, which, unfortunately, have long been considered the norm. The mixture is always the same (contains approximately 40 standard imperfect components); it is supposed to be given strictly by the hour and a certain amount (often overpriced, to be sure, what is called). Before that, you need to take care of the cleanliness of the bottle and nipple (which are still approximately the same shape and size). So, having heard a medical judgment about the amount (lack) of milk in the breast, about the shape and size of the nipples, the mother should simply remember that the breast is not a bottle with divisions, it cannot be filled to a certain mark and emptied, while looking at how much has flowed out. It is immediately useful to recall imaginary signs of milk sufficiency: breast size, breast fullness, milk leakage, amount of pumped milk. The breast "works" in response to the sucking of the child, all babies and mothers are different. The composition of women's milk is also unique, it contains more than 400 components, in addition, it is different for each mother and adapts to the needs of her baby.

Now it's time for one of my favorite breastfeeding problems...Lack of milk...

Approximately 9 out of 10 mothers who complain about a lack of milk actually think so unreasonably, they are guided solely by their own feelings and behavior of the child. But these indicators are biased and most often explained by other reasons.

There are expressions of moms that look like twins and you even heard them from your girlfriends or said them yourself. With slight variations...

“My breasts are not filled as before, they are no longer bursting with milk, they have become soft and I feel that they are empty…”

Usually, such words can be heard from mommy at 2-3 months of lactation. More often, this is due to the onset of the normal stage of lactation - mature lactation. When milk is no longer produced for the future, and the mammary gland adapts to the needs of the baby, and milk comes exactly as much as it needs for one feeding. Thus, nature has provided an opportunity for the mother's body not to work for wear and tear.

An important clarification is that the more children a mother has raised, the faster this moment can come. One day, the mother of the 4th child turned to me! She nursed all the children herself! And all the offspring gained weight well, including the newborn. She said that with each baby, she had less and less milk and doubted her ability to feed the little one. It turned out that a similar condition (the breasts were not filled, they were not bursting, they were soft) came on earlier, with the last child, mature lactation was established after a month of feeding. It is wonderful that the mother turned out to be very attentive and balanced, we discussed with her what exactly was happening, that the softness of the breast and the feeling of not being full did not affect the ability to feed the baby. Now she successfully continues to breastfeed.

Therefore, dear mothers, if you notice a change in the condition of the breast and the flow of milk, do not worry and do not worry. Do not immediately run to the pharmacy for a mixture and a bottle, do not drink a bunch of lactogenic products, do not start drinking tea with milk in liters (especially since this lactation recipe does not help in any way). Better yet, relax, look at your happy little one, evaluate if urination, stool frequency and . If everything is fine in this respect, then you have no reason to worry.

We have considered the option if the organization of breastfeeding the child was correct. But quite often there are situations when significant errors were made in the organization of feeding:

The baby was supplemented with a mixture, without extreme necessity;
The kid received a pacifier and began to devote a lot of time to it;
Nightly attachments were skipped ();
Mom kept the intervals between feedings or limited the time of suckling;
The baby was supplemented with water in large volumes.

In this case, it is at this age of the baby that mistakes begin to make themselves felt. And milk production can really decrease. And in this case, if the slips are not eliminated, lactation will not regain its full strength, even despite the constant use of lactogenic agents.

“Everything was fine, but in the morning I woke up, and there was nothing to feed! The milk is gone!

I must say right away, moms, if you breastfed normally before, then milk cannot go anywhere overnight, even in a week, it cannot disappear anywhere! Lactation is a hormonal process and it is not so easy to stop it. Even if you experience this, stay calm, don't reach for the bottle, try to relax, and nurse more often throughout the day. The baby will definitely increase the production of milk by sucking and everything will work out.

“I have lactostasis and the baby does not want to breastfeed, probably the milk has burnt out or has become tasteless” or “I am afraid to feed the baby because of stagnation”

The first aid for any lactostasis is sucking the baby and the more often he does this, the faster you, together with the baby, will cope with it. If you have the first signs of lactostasis, start applying crumbs to this breast more often. After all, if you feed less sick breasts, then the nipple and areola will swell more and more and it will be more difficult for the baby to grab the breast well and release it from stagnant milk. That is why, most often the baby refuses to take it.

Sometimes it happens that due to stagnation, the milk acquires a salty taste and the mother, having tasted it, is afraid to feed her baby with such milk. In fact, such milk is not at all dangerous for the baby, just when it stagnates, the level of salts in the milk increases, and it acquires such an aftertaste. You can and should eat! After the elimination of lactostasis, the taste is fully restored.

“I tried to express, but it didn’t work” or “I don’t have milk, only 40 grams from two breasts!”

The amount of milk expressed is not an indication of a lack of milk, and there is no need to rely on it. And there are explanations for that.

First, even coolest breast pump Doesn't compare to natural breastfeeding, the power of the vacuum when sucking the baby and the natural wave-like movements of the tongue make it easy and simple to suck milk from the breast. The mammary gland readily responds to the sucking of the native baby, its proximity and smell, and itself gives milk, the milk ejection reflex turns on and the milk is thrown into the baby's mouth. And when pumping, it doesn’t matter if you do it with your hands or with the help of a breast pump, this reflex may not work and you can’t express a large amount.

Secondly, in any business you need a skill and this skill also needs to be learned. Therefore, if for some reason you did not manage to express any significant amount of milk, this is not a reason to get upset, draw far-reaching conclusions and plan a campaign for the mixture.

We also read: and choose a breast pump and learn correctly

“My baby hangs on his chest or sleeps for a very short time and again asks for a breast. I probably don't have enough milk."

The fact is that for a human cub, frequent feedings are biologically justified. Our species of mammals, and whatever one may say, this is true, belongs to such species that practically do not part with the child, carry it with them, feed it according to its every desire to kiss the mammary gland.

A woman's breast milk contains easily digestible fats that are digested fairly quickly. The record time for which breast milk can be digested is only 30 minutes.. Therefore, the frequent demand of the breast is the normal behavior of the baby in the first months of life. And this is not an indicator of a lack of milk.

It should not be discounted also that for a newborn baby, the chest is, without exaggeration, everything! This is a way to communicate with mom, to feel comfortable, safe, close, a way to empty the intestines and get rid of discomfort, some babies pee when they suckle. With the help of the breast, the child adapts to the new environment after birth, this is the thread that connects the child and mother, like the umbilical cord in the tummy, this is a natural continuation of pregnancy and the birth of a child. Therefore, frequent feedings are important for both mother and child, especially in the first months of feeding.

“The baby is worried under the breast, crying and it seems to me that he is crying because I don’t have enough milk”

In fact, the reasons for this behavior are carts and a small cart and not in the first place is the feeling of hunger and lack of milk.

Moms take note!

Hello girls) I didn’t think that the problem of stretch marks would affect me, but I’ll write about it))) But I have nowhere to go, so I’m writing here: How did I get rid of stretch marks after childbirth? I will be very glad if my method helps you too ...

We will note only a few of them, in fact there may still be a great many of them and it is better to deal with the reasons individually.

If a baby is sometimes fed from a bottle, then at a certain stage he purposefully begins to demand it. It can also touch the pacifier;
The baby is uncomfortable sucking or something hurts him;
Feeding errors, for example, too frequent breast changes ();
Changes in milk flow, some babies do not like too much milk flow, others slow it down. This can and should be fought;
Banal;
The baby has been made to wait too long for the breast, and he is no longer able to cope with resentment and may arch and refuse the breast;
Breastfeeding for various reasons not related to lack of milk.

As you can see, the baby may not behave this way because you do not have enough milk, this is the last, and not the first thing you should think about in such a situation.

“The child does not sleep at all during the day! And if you give the mixture, he pounces on the bottle and after the mixture falls asleep for several hours!

And again the conclusion is made - there is not enough milk, it is not as it should be, it is not fatty, not nutritious, etc.

When talking with mom, it almost always turns out that the baby falls asleep in her arms and can sleep for an hour and a half, but when she tries to shift to the crib, she immediately wakes up and everything starts in a circle (read an article on this topic:). Or the child inevitably wakes up when trying to vilify him with a column, and then a long laying down, motion sickness and other delights follow. It is important to understand that a small person, in order to feel safe and secure, needs to feel the warmth, smell and closeness of his mother, and not only when he is awake. This is natural and normal for him. As a rule, it helps to solve the problem of a baby’s full sleep and mom’s mobility. And it is gaining more and more popularity among breastfeeding mothers.

However, many mothers, receiving a message from the older generation: “Do not teach to hands!” and wanting to take a break from being carried on their hands, they begin to give the mixture and are amazed that the baby can sleep for 3 hours without waking up. Some mothers perceive this as a blessing and begin to doubt the need for breastfeeding in principle. But here you need to dig deeper and figure out why, is this happening? And the trick is that the mixture contains a foreign protein, due to which the mixture is absorbed more slowly and harder, the child falls into a deep sleep, not because he feels good and is full, but because all his strength goes into digesting the mixture. In addition, the baby, when sucking on a bottle, often sucks it while the mixture continues to flow, as a result, he can overeat well, then sleep can already go into a stressful stage. I think every mother understands that this is not good.

Another way out of their situation, which mothers find, is to send a toddler for a walk for 3 hours with dad or grandmother. And everything seems to be fine too, the baby doll is sleeping on the street, mom is resting. But upon arrival home, the child clings to the chest with a death grip and may not let it go for several hours, fearing to lose it again. To prevent this from happening, in the first months of feeding, it is better if the walks last no more than an hour..

Dear mothers, when you start complaining that the baby does not get away with it, does not sleep without you, hangs on your chest, that you do not have time to do anything around the house, please remember that time is very fleeting and with this baby this won't happen again. That your child will only be small once and that he needs you so badly, he will only now.

“In the morning, the breast is bursting with milk, and by the evening there is little milk and the baby is worried at the breast. Does that mean there isn't enough milk?

In order to understand what is happening, you need to know the physiology of lactation. It is at night and early morning hours that the peak of the production of the lactation hormone prolactin occurs, and milk is actively produced. In addition, at night of feeding, as a rule, less often than during the day, milk accumulates and in the morning it bursts the chest. During the day, the baby has a lot of reasons for applying, feeding becomes more frequent, the chest is emptied more often. This does not mean at all that there is no milk or that it is not enough, it just does not accumulate and its flow weakens somewhat. This can be unnerving for the little one, especially if he sometimes gets a bottle or pacifier. Such children really do not like a weak flow, if you eliminate foreign objects of sucking, the situation gradually normalizes.

Usually, in the evening, the crumbs accumulate fatigue, impressions of the day, the kids are preparing to go to bed, and therefore in the evenings you can often observe that mothers feed non-stop. It is important to understand that such behavior is, as usual, normal.

Sometimes, too restless behavior in the evenings, may be the result of a difficult birth, stimulation in childbirth, pain relief. Also, in rare cases, it makes sense to seek help from an experienced osteopath.

As you can see, the evening “hangs” on the chest are not due to a lack of milk, but to completely different reasons, for example, the peculiarities of lactation and the baby’s nervous system.

So, dear mothers, we went through common situations and concluded that it is impossible to base our suspicions about the lack of milk only on our own feelings and behavior of the crumbs. More often than not, these suspicions are completely unfounded.

If anxiety does not leave you, do not count it for work, track the number of urination in a child per day, analyze the dynamics of weight gain, this will save you and your baby from unreasonable supplementary feeding. If the results do not satisfy you, you can assume a real lack of milk, try to pay attention to the correct application, the frequency of feeding and consider the introduction of supplementary feeding, if necessary.

We also read:

How to increase lactation of breast milk at home (folk remedies and pills) -

How to restore lactation - 10 top recommendations -

Fundamental advice for breastfeeding mothers about breastfeeding -

Video guide

An incredibly effective breast enlargement product recommended by Elena Strizh!

After the ovulation process, changes are observed within the body, and this condition acts as a norm. The entire reproductive option works due to hormones - progesterone, estrogen. The source of the formation of the first element is the corpus luteum, which matures within the second phase of the cycle. Thanks to him, there is a complete preparation of the body of the fair sex for bearing a child. The development of iron tissue also occurs during the activation of the hormone progesterone. Since blood begins to actively flow to the mammary glands, a pain sensation is formed. At this time, there is swelling of the breast and slight pain.

For most of the fair sex, pain and slight discomfort in the area of the mammary glands act as a common occurrence. Chest swelling along with other signs of PMS, and usually this condition occurs a week before the formation of blood, ending the day before. For a young lady who is of reproductive age, this phenomenon is considered absolutely normal. But what if, before menstruation, the breasts stopped pouring? Should I run to the doctor or calm down and wait for the general well-being to improve? This will be discussed in the framework of this material.

What causes pain before menstruation

The alignment of the functioning of the entire reproductive option occurs due to the influence of hormones. The menstrual option is no exception. One of the components that regulates its activity is progesterone. He is responsible for the process of the final stage, in which the lining of the uterus is prepared to reject the fact of fertilization. Also, progesterone affects the tissue elements of the mammary glands, which have a prompt response to sex hormones. Therefore, any organismal fluctuations are displayed on the state of this option.

Due to the influence of progesterone, there is a colossal fluid retention in the chest area, and the mucous components and milky ducts expand. The increased pressure on the nerve roots entails the process of swelling of the mammary gland, accompanied by soreness and a feeling of heaviness. When the menstrual process starts, progesterone is no longer so active, so the sign disappears. In the case of the presence of benign formations in the chest area, pain sensations become even more vivid. In these situations, their influence on the nerve endings is enhanced. In any case, it is important to get an answer to the question, why did the breasts stop swelling before menstruation?

Why did the chest stop hurting, and how to explain it?

Pain in the chest before the approaching menstruation does not bother only 20% of women. Although the phenomenon itself at this time is considered absolutely normal: the body begins to prepare for lactation - feeding the baby. But if one day there came a period during which the sensations disappeared, and the chest stopped bothering, this is a sign of changes in the body as a whole. In some situations, this phenomenon is observed not only through a decrease in testosterone, but also in connection with other causal features. To dispel doubts and find the exact causes of such conditions, it is worth contacting a medical specialist who will provide answers to any questions.

Common causes of menstrual irregularity

There are several common factors that have a direct impact on the state of women's menstruation. They can also act as the culprits of the changes and why the chest stopped swelling and aching before menstruation:

excessive organismal intoxication;
diseases of an infectious nature - tuberculosis, sepsis, influenza, parotitis;
alimentary dystrophy;
lack of vitamin and mineral substances within the body;
excessive obesity or, conversely, dystrophy;
hazards of a professional nature;
problems with the work of other systems and options - kidneys, liver, heart, hematopoietic function;
diseases of a psychoneurological nature;
endocrine conditions and lesions;
radiation interventions;
congenital pathological conditions;
ailments of an inflammatory and non-inflammatory nature.

Normally, the occurrence of pain occurs a few days before menstruation. In this case, we are talking about changes associated with the hormonal background, which are natural. Women who want to endure and give birth to healthy children, in this case, it is imperative to consult a doctor, because an insufficient amount of progesterone will interfere with the normal process of conception and pregnancy. A good gynecologist should send for testing and subsequently answer the question of why the chest does not hurt before menstruation.

It is important to know! In some situations, the changed amount of progesterone can act as a prerequisite for terminating the state of pregnancy. In a number of situations, we can talk not only about a decrease in the level of this hormone, but also other elements responsible for the full functioning of the ovaries. Estrogens have the ability to influence the development of the uterus. If they are not enough, the uterus experiences difficulties in development, which leads to the process of terminating the pregnancy.

There are several other separate causal factors that can stop breast pain.

Frozen pregnancy

In the early stages, there is a chance that the fetus will stop developing. Naturally, in connection with conception, there is an increase in the amount of progesterone contained in the body, so the woman is in pain. And since the fetus, which does not develop, continues to be in the uterus, mucosal rejection may not be observed.

Ectopic pregnancy

If the fetal egg is attached outside the uterine cavity, there is no chance of pregnancy in the classic version of the course. Abdominal pain is a key symptom of an ectopic condition. But discomfort in the mammary glands occurs in less than 50% of women.

Tumor conditions in the genitals

If the balance of hormones in the body is as correct as possible, this also indicates that all the beneficial substances are in the optimal ratio. If a tumor has occurred in some of the areas of the reproductive function, progesterone can no longer, as before, have an effect on the body. As a result, the mammary glands do not have a pronounced reaction to various disorders and jumps, therefore, at first, menstruation may be regular, but the sensations during their course will be different.

Polycystic ovaries

If such a problem exists, menstruation is completely disrupted. The hormonal balance, of course, also undergoes certain changes and becomes completely different. In some women, the number of androgens also exceeds the norm or has a lower value. At first, this condition does not affect the general well-being, but if menstruation is characterized by delays and changes in general well-being, this is a reason to contact a treating specialist.

When to go to the doctor

There are several reasons to see a healthcare professional during premenstrual changes. Since PMS itself is unpleasant, many girls naively rejoice in the disappearance of some symptoms, including chest pain. Sometimes such behavior is carelessness designed to spoil the state of health, especially if other conditions and changes are present:

other signs of PMS have been enhanced;
there are new representatives of the symptoms of this condition;
sensations in the chest before menstruation have changed;
between periods, discharge began to form;
there were certain fluctuations in weight for no reason;
Pregnancy test has 2 lines.

If the menstrual cycle is accompanied by the absence of pain and swelling in the chest, this is not a reason to look for diseases in oneself, but sometimes it will not hurt to be examined. This is especially true in a situation where there is a possibility that changes have occurred during drug intake, abortion, childbirth, stress factors and other reasons.